Evidence map›Paper›PMID 36463354›Full record

ArticleAnnals of surgical oncology2023

Safety of Nephrectomy Performed During CRS/HIPEC: A Propensity Score-Matched Study.

Andrei Nikiforchin, Armando Sardi, Mary Caitlin King, Ekaterina Baron, Felipe Lopez-Ramirez, Carol Nieroda, Vadim Gushchin

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Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Andrei NikiforchinSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Armando SardiSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA. asardi@mdmercy.com.ORCID http://orcid.org/0000-0003-4132-9489
Mary Caitlin KingSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Ekaterina BaronSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Felipe Lopez-RamirezSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Carol NierodaSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Vadim GushchinSurgical Oncology, The Institute for Cancer Care, Mercy Medical Center, Baltimore, MD, 21202, USA.
Mercy Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgeons may hesitate to perform nephrectomy (NE) during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) due to a potential increase in morbidity. However, no data are available regarding the impact of NE on outcomes, so the authors decided to assess its safety during CRS/HIPEC.

methodsA single-center propensity score-matched study was conducted using a prospective database (1994-2021). The study included patients who underwent NE during CRS/HIPEC with completeness of cytoreduction (CC) of 0, 1, or 2. Control subjects (no-NE) were selected in a 1:3 ratio using propensity score-matching weighted by age, histology, peritoneal cancer index (PCI), CC-0 or CC-1 rate, and length of surgery.

resultsAmong 828 patients, 13 NE and 39 no-NE control subjects were identified. The indications for NE included tumor involvement of the ureter, hilum, and/or kidney with preserved (n = 8), decreased (n = 2), or absent (n = 3) function. NE patients received more intraoperative intravenous (IV) fluids (16,000 vs 11,500 mL; p = 0.045) and had a greater urine output (3200 vs 1913 mL; p = 0.008). NE patients received mitomycin C (40 mg for 90 min) or melphalan (50 mg/m

conclusionsNephrectomy performed during CRS/HIPEC does not seem to increase postoperative morbidity or to delay adjuvant chemotherapy, and NE can be performed if required for complete cytoreduction. The NE patients in our cohort did not have a reduction of mitomycin C or melphalan dose or perfusion time.

Indexed as

Hyperthermia, InducedPeritoneal NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCytoreduction Surgical ProceduresHumansHyperthermic Intraperitoneal ChemotherapyMelphalanMitomycinNephrectomyPropensity ScoreRetrospective StudiesSurvival RateMelphalanMitomycin

Identifiers

PMID36463354
OpenAlexW4310646858

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.